HomeMy WebLinkAbout1084 ELLINGTON RD APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT 16000 t
APPR v 1540 SULLIVAN AVENUE
Bldg. Permit#
644-2511 ext. 230
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
$041,000=$15.00 F
nZ�
k d
Over$1,000= v Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt. No.
APPLICANT
APPLICANT ADDRESS
APPLICANT'S PHONE# QI,
OWNER ( .
A D W N S f,q< OWNER ADDRESS
OWNER PHONE
ESTIMATED COST$
C .
IS THIS A CONTRACT COST? Yes -X_No
FEE ENCLOSED$ low
TYPE OF JOB:
K a<�J-
�SOR-C0 New Installation
Alteration/Addition/Repair
Revised 03/05/10
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? ❑ YES ❑ NO
❑ RESIDENTIAL CURRENT USE AND OCCUPANCY
❑ BUSINESS
❑ ASSEMBLY FUTURE USE AND OCCUPANCY
❑ EDUCATIONAL
❑ INSTITUTIONAL ENGINEER'S NAME PHONE
❑ FACTORY
❑ STORAGE ADDRESS
❑ GARAGE
❑ MIXED USE CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS
NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS
NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ NO
NUMBERS OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS
NUMBER OF A/C CIRCUITS
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
W (L.
THE UNDERSIGNED NEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOR-
MANCE OF SUCH WORK
CONTRACTORS LICENSE NO. TYPE STATE ll G
SIGNATURE OF APPLICANTUW24 4)�fDATE
Electric # p PPLICATION FOR BUILDING PERMIT
HVI�Cp�IVI 084. �i�fto Road
Sprinkl} S�,u1h W incisor 730853
FINADt�P --- Estimated Cost $ 3rb
/�1 I - - -- -- - - - - i Permit Fee $ f 44.
Building OMPLETE RED BOXED AREAS i Occupancy Fee $ 1 /
Engineer t@S 29493— TYPE OR PRINT ONLY i Eng. Insp. Fee $
A r. for CO. ► SIGN ON REVERSE SIDE
pP Affidavit _ _ Total Fee $
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant Loc tion of Work Lot No.
Applicant's Add ess d O n >r Tel. ct-' 1417 o
Town�S�u lAli�A so r Zip &aO 7Y Lic.#
Owner 45DiM4, Architect
Owner's Address Samn&- Architect's Address
Zip Zip-
.-Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New A a
Purpose of this permit Nowre. 12roOna 43001 L e car .00era>I
City Water❑ Well❑ Septic System❑ Sewero
Ins: HO C Area Basement Garage
49�5D�ate
Approved by �� i Use Group Construction Type
Revised 6/02
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this
permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in which this ildng and is al ed.
Signed
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
PER, PA 11-176
AND
CGS 29-393
i
1084 Ellington Road
100 .
09
3
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66 Op 09
.93
64 2
4
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36 0.4
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0 20 40 80 120 160 Created by South Windsor Planning Department —,Sou&wine w
Feet Mapping provided by SBC under contract. GIS
Data managed by the
L Information Technology Department.
JUN 0 5 Z007
South Windsor
BUILDING DEPARTMENT
fo THE BUILOWC DfirPT. TOWN Of WUTH WIND500
This certillod that this plan and specification%are true
Copies of the proposed building or aiterations td be
erected at
r
/Q J-1 itreer
together with a...dAk&A stated In application anc
filed with plan and 1 agree to comply with all zoning
Building and state laws and such orders as shall be
Issued by the Building Department during pendent)
of this appucatio and final issue of a building
permit.
3Igned
This plan is approved sublet( to the condition that P R O `Y, E D
erders and ordinances regulating building shall be
_
eowpiled with. Tr:i:��`� OF SOUTH Conditionally Approved WRNdSIQ �
ese (fled with
E:PI ;!a'VEE Ir,�G C)EPARTMIt"Nle
Building InapeettN
Cleft, DATE: 0�
gym.:
: -
CERTIFICATION OF ZONING COMPLIANCE
Props ,31 bullding(s), use(s) any'/or sftct-e- (s)
e- o" ,, p!cn ap^_.-it,(^) to `n
t ;c� v,, _:t current U r
rF Vc i .,n:,es and rt `..,._.l o,: ;
rr
Dui L Sy Ul
g E r.,,.nt Officer
1 x3 OL",
i
BUILDING PERMIT
STATE OF CONNECTICUT
WORKERS'COMPENSATION COMMISSION '
Building Permit Affidavit for Property Owners or Sole Proprietors
(Conn.Gen.Stat.§31-286b)
Property located at f tNr4
In the town of
1
Name of building permit applicant:
Please check on
1. : �thewner of the above property.
2._I am the sole proprietor of a business.
2A.Name of business
213.Federal Employer Identification Number(FEIN)
....................................................................................................................
Pursuant to§31-286b,"a property owner or sole proprietor[who]intends to act as a general
contractor or principal employer"may provide either a certificate of workers'compensation
insurance or a"sworn notarized affidavit... stating that he will require proof of workers'
compensation insurance for all those employed on the job site in accordance with this chapter."
Please check on
I.
_I do not intend to act as a general contractor or principal employer.
[Sign and stop here]
-Z«Z- -AV-,,,4/
Signature of applicant
2._I intend to act as a general contractor or principal employer.Applicant must either
provide a certificate of workers'compensation insurance or sign the affidavit
below.
....................................................................................................................
Affidavit
I hereby swear and attest that I will require proof of workers'compensation insurance for every
contractor,subcontractor,or other worker before he/she engages in work on the above property in
accordance with the Workers'Compensation Act(Chapter 568).
I understand that pursuant to§31-275 C.G.S.,officers of a corporation and partners in a
partnership may elect to be excluded from coverage by filing a waiver with the appropriate
District Office;and that a sole proprietor of a business is not required to have coverage unless he
files his intent to accept coverage.
Signature of applicant
Subscribed and sworn to before me this day of ,2U0 .
(Notary Public/Commissioner of the Superior Court)
t
Town Of South Windsor
Building Department
Location 11n Building Permit#
SWIMMING POOL REOUIREMENTS:
.This list is not all inclusive;please refer to pool packet.
o A 48"barrier will be provided to protect the pool access. Including a temporary fence
for inground pools prior to filling.
o Access gates will be self closing and self latching(if less than 54"high they shall be on
the pool side and be protected within 18"of release mechanism).
o Doors providing direct access to the pool shall either have an alarm,a self closing self
latching device 54"above the floor,or a safety cover over the pool.
o No receptacles within 10'of pool(locking type receptacle for pool equipment must be
at least 5'from pool and GFCI protected).
❑All metal parts of pool structure,fixed metal parts within 5'of pool,pump motors etc.,
shall be bonded with a mmunum#8 solid copper wire.
o Convenience GFCI receptacle shall be provided between 10'and 20'from pool.
❑Trench depth for 20 amp.circuit to pool equipment shall be 12"mmimurn
o A surface pool alarm shall be installed pursuant to Public Act 99-140.
.t7 All swimming pool pumps must be equipped with a time clock.
o Heated pools require a pool cover unless over 200/9 of the heating energy is from non-depletable sources.
REOUIRED SWIMMING POOL INSPECTIONS:
The following is a list of inspections that need to be performed prior to the continuation of wort Requests for
inspections can be made by calling the Building Department at 644-2511 ext.230.
1. TRENCH AND BONDING-Electrical trench depth verification and bonding of pool and metal appurtenances
including metal reinforcing for gunite pools.
2. FINAL ELECIRICA ,-Locatioa of equipment and GFCI protection. Convenience outlet provided.
3. FINAL-Swunming pool access protection must be provided before pool can be used.
Each swimming pool.installation requires a Building and an Electrical permit. Additional permits and inspections
are required for pool decks.
I have read and understand the requir eats listed above.
Applicant Signature Date
Homeowner Signature Date
m ZQ
�O
Lil FIOURESSHOVA4THUS WDICATE LENGTH Of HANDRAIL IQ 1
84" ��• �g
a �/ 7an•tr T615.10 lets-w / A HR_1oa" Haar }
'� HR•�Q/C HR•�iX' i .`rP .-_^ ___ _ _ _ u-
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�-W I,uT-�•�n «� L ti I I I I � N w
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11 I I ;I I �
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IN POOL LADDER �+1 1 II ou.
I Iti j-00
la C3
1
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SAFETY SIGN
FACING DECK AREA "' 1 I I 1
s II li
STEP NO.11
NOTE.
PATIO DECKS SHOULD BE NAILED TOGETHER, AT I 1, II =a
A SECTION "X="X" WITH A MIN. OF 8 #10d NAILS. AT 1 I h}
-+ SECTION "Y"-"Y" WITH A MIN.OF 010d NAILS, PATIO •1 I
POSTS A MIN.OF 4 910d NAILS EACH.USE 8 x 8 PATIO �• ,'11
c kj BLOCK UNDER ALL PATIO POSTS. / r!! 1 I I Na
IL
y� HF1J6x" HR•9LX� HRJir<" � HR-.'?►� MR-TeM' HR-71M'1I1s s :elsio »:i•ro 7tr� �at�
PATIO iF3dCL POSTS
D %a"IONa
D TI?Sd
9
V �
PATIO & FENCE ASSEMBLY
D a
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a
ME
10001
�,. OVAL
SWIM AREA 15' x 24'
The excitin W
g � N E brings summer fun and years of swimming pleasure to your own
Backyard. These magnificent features are included for an oasis of family pleasure:
• Giant 16' x 7' wood non-painted • All-Steel Reinforced Construction • "Swing-up" safety entry ladder
Sun-Deck to patio
r
• Heavy Gauge Liner
• Wood safety fence with strung In-pool ladder
vinyl rope • Rugged Steel tie-straps unite with
tough steel Buttresses that ! lily pad skimmer
• Cartridge Filter with motor provide maximum strength.
and pump
Elects-# APPLICATION FOR BUILDING PERMIT
Plumbing# Date: ?- �=1
�
HVAC # 1084 Ellington Road
Sprinkler#
FINAL APPROVALS 304A6 Estimated Cost $
Building COMPLETE RED BOXED AREAS j Permit Fee $
Engineering Occupancy Fee $
TYPE OR PRINT ONLY
Affidavit g Eng. Insp. Fee $
Appr. for CO.SN2 4 , SIGN ON REVERSE SIDE Total Fee $
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant +.o r11 0 y 0-c o Location of Work 1 '! -/ .A 4 Lot No.
Applicant's Address /J V Lj /�H 1a., R d Tel.# 7 7 -S Y % S
Town J- c,J`it J a o r- Zip o LI Lic.#
Owner Lc;,-'I I60e0 .6,c 11 Architect /�l!Q r�� tl c c�� ✓.y^
Owner's Address Architect's Address F
Zip Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose Of this permit r; I r-,),,4 [?V2 -f
City Watero Well❑ Septic System❑ Sewer❑
Ins: HO At , Basement Garage
Approved by ate PRI
,a Use Gr struciion Type
Revised W2
r
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Tam of
South Windsor and to notify the Building Inspector of any afteration in the plans or specifications of the Building for which this
permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required
distances from all other zones and is k)cated in which t'this building and its use is allowed.
� Signed — /1- .r 1! n-'-,,.
I hereby apply for a Certificate of Occupancy for tM work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
**-30446-B S00
B10 FINAL 04/01/04 PJP A EAST ROOF MAIN HOUSE ONLY, W HOMEOWNER SHE
STATES PULLIN PERMIT FOR REMAINDER OF ROOF
B10 FINAL 04/01/04 PJP A CLOSEOUT
Y •
Electric'" APPLICATION FOR BUILDING PERMIT
Plufnbing# 1084 Ellington Road Date: G.5
HVAC #
Sprinkler# 32182 --- ---- Estimated Cost $
FINAL R F000" SIGN
-- ---- - - --- --- -- Permit Fee $
Building/ PLETE RED BOXED AREAS Occupancy Fee $
Enginee n TYPE OR PRINT ONLY Eng. Insp. Fee $
Appr. fi ON REVERSE SIDE
Appr. for CO. -- --- - Total Fee $
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant A/7 4A0,1V c�� � Location of Work /Ott' h./ "' Lot No.
Applicant's Address /DC,7i1 r//,may�,� 'O �' ��u- Tel.# 7/oz-9a y0
Town S' J, Zip oG o 7 y Lic.#
Owner Architect
Owner's Address 109y Pl►����� `" Architect's Address
-S i0l'Je -( C'r Zip 0yc9Y Zip
Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit o-)
City Water❑ Well❑ Septic System❑ Sewer❑
Ins: HO SP Cert. Area Basement Garage
Approved by Date Use Group ( Construction Type
Revised 6102
�a
1 hereby agree to conform to all the requirements of a Laws of the State onnec ut and the dinances of the Town of
South Windsor and to notify the Building Ins r of an alteration in t plan or cific f the Building for which this
permit is asked,and agree that this build�edmtwhich
o be loca d the pro distan o all r t es,side yard lines,and required
distances from all other zones and is to t s b di nd its us Qw
igned
I hereby apply for a Certificate Occ y r work deb ri t ^pl ation for the permit.
ned
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
**-32182-B 3,400
B10 FINAL 01/27/06 JFF A
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1000081 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 04/30/10
GIS ID:30301084 _ FEE: 15.00
MUNIS APPLICATION# 200700828 BUILDING DESCRIPTION:
N,
APPLICANT,: LOCATION
NAME: MACK WILLIE J �' ` Y^ ADDRESS: 1084 ELLINGTON ROAD
ADDRESS: 1084 ELLINGTON ROAD; OWNER: MACK WILLIE J
SOUTH WINDSOR,CT 06074 1084 ELLINGTON ROAD
SOUTH,WINDSOR,CT 06074
DESCRIPTION OF WORK: ABOVE GROUND POOL
SPECIAL CONDITIONS: k'
ALL WORK TO BE DONE IN ACCORDANCE WITH THE-APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
4/30/2010 1 1:21 AM THE FEE ABOVE INCLUDES A$0.22 PER THOUSAND CT STATE EDUCATION SURCHARGE